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1003426974
VINCENT P CAGUNGUN
MATTOON, IL
NPI
1003426974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 041.498060)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
VINCENT P CAGUNGUN RN
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-258-4006
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Mailing Address
VINCENT P CAGUNGUN RN
912 OAKCREST DR APT F
CHARLESTON, IL 61920-1780
Phone number: 858-722-3728
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